COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. PC-G-15.4C (Rev. 1-2004) Calendar No. PROBATE COURT OF FRANKLIN COUNTY, OHIO : JUDICIAL SUBPOENA Plaintiff(s) LAWRENCE A. BELSKIS, JUDGE -against- IN THE MATTER OF THE GUARDIANSHIP OF : : CASE NO. : APPLICATION TO Defendant(s) TERMINATE :GUARDIANSHIP ...................................................... Now comes the undersigned guardian of the above named ward and represents to the Court, that the guardianship should be terminated for the following reason: [check appropriate box] The ward OF THE STATE OF age. THE PEOPLEis over 18 years ofNEW YORK The ward is now deceased. TO Other Therefore, the applicant asks the Court for authority to terminate the guardianship and to disburse the assets according to law as detailed in the Entry. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Guardian , the Honorable at the Court located at County of in room , on the day of , T at o'clock in the noon, and at any recessed E N 20 R ,Y or adjourned date, to testify and give evidence as a witness in this action on the part of the Upon consideration of the Application to Terminate Guardianship, the Court finds that there is no further need for the guardianship to remain open. Therefore, it is ordered that the guardianship be terminated forthwith and the financial institution shall on all account(s), relative to this guardianship in their Custodial Your failure funds to: Depository, disburse the to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. The ward individually. The ward's estate only. The financial institution shall supply Probate Court with a complete accounting the all transactions against Witness, Honorable , one of of Justices of the the account(s) since placed in their day of Custodial Depository or since the last account was submitted to Court in County, , 20 Probate Court. The guardian is: (Attorney must sign above and type name below) Not required to file a final account because all the funds are custodial. The surety, if any, and the fiduciary are discharged. Required to file a final account by Date Attorney(s) for . Office and P.O. Address LAWRENCE A. BELSKIS Judge Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: FRANKLIN COUNTY FORM 15.4C - APPLICATION TO TERMINATE GUARDIANSHIP American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : CASE NO. : Index No. Calendar No. : JUDICIAL Plaintiff(s) RECEIPT AND RELEASE OF ALL CLAIMSSUBPOENA -against- : This day the undersigned makes application to the Probate Court for release of funds, including interest, : deposited in: : Account No. Financial Institution Amount Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO I, , acknowledge the accuracy of the balance of the above listed funds deposited in the noted financial institution(s). `In consideration of the protection given my interest in the funds in the account(s) and in consideration of the release of the GREETINGS: account(s), I hereby knowingly and voluntarily release Franklin County Probate Court, and all Court personnel from all actions, claims, that all business and excuseswhatsoever which Iand each of you attendhad or WE COMMAND YOU, damages and demands being laid aside, you now have or ever before shall have which are associated with the receiving and holding of funds. , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Name Date Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Signature Witness result of your failure to comply. Witness, Honorable , one of the Justices of the Court in County, day of , 20 NOTE: If not signed in Probate Court, this must be signed before a notary public. (Attorney must sign above and type name below) Acknowledged before me a Notary Public this day of , 20 . Attorney(s) for Notary Public Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com